Case 1 : A 60-year-old male with liver cirrhosis was admitted to our hospital for the treatment of esophageal varices. He had been treated by endoscopic injection sclerotherapy (EIS) before 5 years, but varices reccured. His laboratory data revealed marked thrombocytopenia (14,000/μl) and prolonged prothrombin time (43.3%) . At 14 day's after EVL, tarry stool and progression of anemia was observed. Bleeding from EVL ulcer was point out by urgent endoscopy. Hemastasis was achieved with 1% Aethoxysklerol injection successfully.
Case 2 : A 38-year-old female with liver cirrhosis was diagnosed as critical esophageal varices by standard endoscopy, then EVL was done. Laboratory data and clinical course were same as case 1. At 12 day's after EVL, hematemesis and hepatic encephalopathy were occured. Bleeding EVL ulcer was detected. Hemastasis was achieved with the same method of case 1. EVL was established as safe and effective procedure for esophageal varices but our two cases showed the necessity for careful monitering after EVL especially in obvious bleeding tendency.
